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Membership Application

Fill-in the following membership application and print it using the print function on your browser.  Send the completed application to the address below with a check for $25 made payable to the "Desert Illini Club."

Name(s): 

Address:  

City:       State:       Zipcode: 

Class of:             Spouse's Class Year:  

E-mail Address:  

Mail the complete form with a check for $25 to:

Desert Illini Club
c/o Russ Andersen
1255 Sunny Dunes Road
Palm Springs, CA  92264

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